Chinetso Chacho Kuwana Kuchengeta Kwakakwana Here?
Kuvhiringidza zvepabonde hakusi nyore ne rheumatoid arthritis (RA) . Maererano ne -rheumatologist.org, vanopfuura hafu yevanhu vose vane rheumatoid arthritis vane zvimwe zvinetso zvekuita zvepabonde. Pasinei nehuwandu hwevanhu vakavhiringidzika, vanachiremba vakawanda nevarwere havaitauri.
Zvepabonde chikamu chinokosha chehupenyu uye chekuita hukama. Kana pane kusagadzikana kwepabonde, hazvifaniri kuregererwa.
Tinofanira kutarisira kuti vanachiremba vabvunze kana tine matambudziko epabonde here? Kana, ndeye mutoro wemuviri wekutaura izvo zviri kuitika here? Kunyange zvazvo chirwere chekurwadziwa kwevarwere chiri kunyanya kukosha kwekutarisana kwerheumatology, kana chiremba kana murwere anogona kusarudza kukurukura matambudziko echipiri, akakonzera. Hazvina mhosva kuti ndiani anozviunza, chero bedzi munhu achiita.
Zvakawanda zvinogona kuitwa kubatsira vanhu vane rheumatoid arthritis. Zvepabonde uye zvepabonde hazvifaniri kuva chinhu chekare kana kungoyeuka. Rheumatoid arthritis haifaniri kukumanikidza kubvisa ukama hwepanyama kubva muupenyu hwako. Danho rokutanga nderokuziva uye kunzwisisa zvinetso zvingangodaro, uye kuziva kana kusagadzikana kwepabonde kunokonzerwa nehuviri kana hwepfungwa nyaya. Ipapo, famba uchiwana mhinduro.
Basa rinowanzoitwa zvepabonde rinoshanduka kuburikidza nezvikamu kubva pakumhanya kusvika pakuzorodza. Inofanira kunge yakabatana nemanzwiro emufaro uye nekunzwa kugutsikana uye kuzadzika.
Kusagadzikana kwepabonde kunogona kuvhiringidza nzira yakarongeka chero ipi zvayo munzira.
Zvimwe zvepanyama zvakabatanidzwa nehutano hwepabonde neRheumatoid Arthritis
Zvinhu zvepanyama zvinowanzokonzera kushanda kwepabonde. Iko dzimwe nguva kunonzi kuremara kwepabonde. Zvinhu zvinosanganisira:
- Kushungurudzika pamwe chete (iyo yakakonzerwa nemarwadzo akabatana pamagariro ehupombwe yakabatana nehutano hwehutano)
- Kuneta (mukana wekuneta uye kukanganisa kwacho kunobatanawo nehutano hwehutano)
- Kukundikana kwepanyama (kuoma nedzimwe nzvimbo, zvinowanzoenderana nekuputika nemabvi)
- Vaginal yakaoma (inogona kuwirirana neSjogren's syndrome )
- Mishonga migumisiro
- Erectile dysfunction
Psychological Factors Yakabatanidzwa Nokusagadzikana Kwepabonde neRheumatoid Arthritis
Mafungiro epfungwa anowanzokonzera chido chekuita zvepabonde, pamwe nekugutsikana nekuita zvepabonde. Mafungiro epfungwa anosanganisira:
- Kushungurudzika (kunobatanidza nokuva nechirwere chisingagumi chemoto chinokonzerwa nekugadzikana kwepabonde)
- Muviri wemuviri wakaipa, kuzvidzora pasi , kusagadzikana (kungave kwakabatana nehuwandu hwekurema kana kuora mwoyo)
- Kuzvidya mwoyo pamusoro pezvavanenge vachifunga uye manzwiro avo
- Kuita zvepabonde kuendesa / pasi libido
Migumisiro yemishonga
Maererano neAmerican College of Rheumatology, kazhinji mishonga inoshandiswa pakurapa rheumatoid arthritis haina kukanganisa zvepabonde basa. Ikoko, zvisinei, zvaive zviitiko zvehutachiona hwe erectile hunoonekwa kuvanhu vaibatwa ne methotrexate , Azulfidine (sulfasalazine) , uye Plaquenil (hydroxychloroquine) . Libido inogona kuderera semubairo wekutora Voltaren (diclofenac) kana Naprosyn (naproxen) .
Kurapa zvinodhaka kunogona kusanganiswa nekurasika kwechido uye kunetseka nemararamiro.
Erectile Dysfunction
Maererano nemigumisiro yekuongorora yakabudiswa neboka rekutsvakurudza reIrish, iro rakaratidzwawo pamusangano wegore negore weAmerican College of Rheumatology, erectile dysfunction inowanzoonekwa kune varume vane zvirwere zverheumatic , kunyanya rheumatoid arthritis, zvichienzaniswa nevanhu vazhinji. Vatsvakurudzi vanobatanidza kuwanikwa kwekuwedzera kwehutano hwehutano hwemwoyo muvanhu vane rheumatoid arthritis. Sezvakangoitika, vatsvakurudzi vakanzi erectile kudzvinyirira "harbinger inozivikanwa" yehutano hwepfungwa mu rheumatoid arthritis patients.
Chimwe chidzidzo, chakabudiswa muEgyptian Rheumatologist muna 2013, chakaratidza kuti rhumatoid arthritis inogona kukanganisa serum uyerogen levels iyo inogona kuva chikonzero chekushaya simba kwe erectile. Chidzidzo chacho chakawana nhamba dzakasiyana-siyana mumatunhu eDHEA (dehydroepiandrosterone sulfate), testosterone yakazara uye yakasununguka painofananidza varume ne rheumatoid arthritis kune boka revarume vane utano.
Kurapa Kusagadzikana Kwepabonde Kunobatanidza Rheumatoid Arthritis
Kukurukurirana kunofanira kutangira chirongwa chero chipi zvacho chekurapa kusagadzikana kwepabonde ne rheumatoid arthritis. Kana mhinduro dzikawanikwa, murwere anofanira kunge akakwanisa kuzivisa zvinetso kune chiremba wavo. Zvakakosha zvakafanana nekukurukurirana pachena nemumwe wako. Zvinongogoneka kukurira zvinhu zvakadai sekutya kukonzera / kuwedzerwa kurwadziwa kwomunhu waunoda kana kuwana nzvimbo dzakanaka kana iwe uchikurukurirana uye unoedza.
Kune nzira dzekurapa iyo chiremba wako angangodaro anorayira, zvakadai sekutora mishonga yakashandura , kupisa (inopisa mvura kana gasivha yemagetsi), uye kusvibiswa kwemisumbu- kunyanya, mukati meawa yekuita zvepabonde. Funga nezvemaitiro ekufambisa maitiro, zvakare, ayo anogona kudzidziswa kwauri nechiremba wepanyama. Chero chipi nechipi chingaita kusunungura muviri wako chichabatsira.
Kuita zvepabonde hakusi kungoita zvepabonde chete. Kunyange zvazvo chido chekugadzira chingashanda mukufarira kwako, yeuka kuti kugunzva, kutsvoda, kubata, nekugumburanya zvose zvinokosha zviito zviduku. Usakanganwa kuti manzwiro ako ari kutamba, zvakare. Kana iwe uchinzwa uchidiwa uye uri kuratidza rudo, nenzira ipi zvayo, uri munzira yakarurama uye unogona kushanda mumatambudziko akawanda, kakawanda.
2016 EULAR Musangano Yakawedzera Kusagadzikana Kwepabonde neRheumatoid Arthritis
Pakazosvika 2016 European League Against Rheumatism Annual Congress (EULAR), zviitiko zvekudzidza zvakaratidzwa kuti kusagadzikana kwepabonde kunoratidzwa mune zvinodarika chikamu chimwe chete muzvitatu zvevarwere varwere vese vane zvirwere zvepabonde-varume nevakadzi. Kunyange zvazvo zvinhu zvakawanda zvingave zvakabatanidzwa, pakanga pasina hukama hunobatanidza pakati pekuita zvepabonde kusagadzikana uye rheumatoid arthritis chirwere chekuita (kureva, kusakosha hakubatsiri chirwere chekuita). Chibvumirano chakawanikwa pakati pekusaita zvepabonde nekuita zvirwere, zvisinei.
Vatsvakurudzi vakaongororawo kugadzirisa zvinhu, zvinhu zvinogadziriswa, uye zvinhu zvekuchengetedza zvakabatana nekusagadzikana kwepabonde ne rheumatoid arthritis. Kunogadzirisa zvinhu zvinosanganisira:
- Kusatenda (33 muzana yevakadzi; 6 muzana yevarume)
- Kusachengeteka (32 muzana yevakadzi; 16 muzana yevarume)
- Zvikonzero zvepanyama (17 muzana yevakadzi; 3percent of men)
Zvinyorwa zvinosanganisira:
- Mifananidzo inochinja (14 muzana yevakadzi; 21 muzana yevarume)
- Kusatenda (13 muzana yevakadzi; 7 muzana yevarume)
- Kuzvidya mwoyo (2 muzana yevakadzi uye 2 muzana yevarume)
- Kurasikirwa kwekukwezva (1.4 kubva muzana yevakadzi; 10 muzana yevarume)
Kuchengetedza kana kuenderera mberi zvinhu zvakabatanidza:
- Zvisikwa zvipenyu kana zvepanyama (11 muzana yevakadzi; 15 muzana yevarume)
- Kusatendeka (9 muzana yevakadzi; 4 muzana yevarume)
- Kuchinja muhukama (9 muzana yevakadzi; 19 muzana yevarume)
- Kusagadzikana kwepabonde kwepabonde (3 muzana yevakadzi; 0.8 muzana yevarume)
- Kusuruvara kana kufunganya (1.9 muzana yevakadzi; 5 muzana yevarume)
Kushamwaridzana pakati pekugadziriswa, predisposing, kana kugadzirisa zvinhu uye chirwere chechirwere chakanga chisingaverengeki.
Shoko Rinobva
Kwete chete kusagadzikana kwepabonde hakuwanzoongororwa pakati pevanachiremba uye rheumatoid arthritis patients, hazviratidzi pane mibvunzo yehutano iyo inoshandiswa kuongorora muviri wehupenyu uye hupenyu hwehupenyu. Zviri pachena, chipatara chinoda kushanda pane icho. Basa rako nderokufungisisa pane zvaunogona kuita kukurira kusagadzikana kwepabonde, mushure mokuziva zvinetso.
> Sources:
> Holzman, David C. Rheumatologists May Kubatsira Varwere Vane Rhumatoid Arthritis Vanokunda Zvipingamupinyi zvekuita zvepabonde. Rheumatologist. July 1, 2014.
> Leong, Amye, MBA. Zvepabonde uye Arthritis. American College of Rheumatology. April 2015.
> Nasr, Mohamad Mahmoud et al. Kuita zvepabonde nekuita zvepabonde muRheumatoid Arthritis Varwere - Matambudziko Asingaoneki. MuEuropean Rheumatologist. (2013) 35: 201-205.
> Stein, Jill. ED, Rheumatoid Arthritis Inogona Kubatanidzwa. Renal & Urology News. December 10, 2009.
> Tristano, Antonio G. Impact yeRheumatoid Arthritis Pamusana pepabonde. World Journal of Orthopedics. April 18, 2014: 5 (2) 107-111.